NPI | 1356731442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253637) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 6558) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2018-11-05 |